Foot Fitness Center Podiatry Group | |
4976 Lakeview Ave, Yorba Linda, CA 92886-4158 | |
(714) 777-2658 | |
(714) 777-1055 |
Full Name | Foot Fitness Center Podiatry Group |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 4976 Lakeview Ave, Yorba Linda, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124264833 | NPI | - | NPPES |
1124264833 | Other | NPI | |
1588637193 | Other | NPI INDIVIDUAL | |
P00669656 | Other | CA | RAILROAD MEDICARE |
5568080001 | Other | CA | DME |
BC719 | Other | CA | PTAN |
BC718 | Other | CA | PTAN - INDIVIDUAL |
#E2097 | Other | MEDICARE ID-PROVIDER # | |
D03050 | Other | CA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | E2097 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Foot Fitness Center Podiatry Group 4976 Lakeview Ave, Yorba Linda, CA 92886-4158 Ph: (714) 777-2658 | Foot Fitness Center Podiatry Group 4976 Lakeview Ave, Yorba Linda, CA 92886-4158 Ph: (714) 777-2658 |
Dr. Kevin Richard Grenier, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 17712 Neff Ranch Rd, Yorba Linda, CA 92886 Phone: 714-801-4411 | |
John Linder Dpm Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 16960 E Bastanchury Rd, Suite B, Yorba Linda, CA 92886 Phone: 714-528-2200 Fax: 714-528-0633 | |
Brian Keith Constantine, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 18300 Yorba Linda Blvd, Suite 204, Yorba Linda, CA 92886 Phone: 714-577-6301 |